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Medical-Surgical Nursing Exam 1 2025 |
Certified Q&A; A+ Guide Solution
The nurse is caring for a client who has as a son with a streptococcus throat
infection. Which nurse recommendation would be best to advise the client to
do in order to prevent acquiring the infection? - correct-answer-Frequently
wash her hands and surfaces of the home.
The nurse is caring for a client infected with Rocky Mountain spotted fever.
The nurse should ask if the client has experienced which of the following? -
correct- answer-Was bitten by a tick
The nurse is caring for a client with a protozoa infection. Which is the most
likely mode of transmission? - correct-answer-Ingestion of contaminated food
or water
The nurse is caring for a client who is recovering from an allergic reaction. Which
leukocyte level would the nurse expect to be the most elevated? - correct-
answer- Eosinophils
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The nurse is caring for a client who has an infected wound on the great toe that
is red with a purulent exudate. The nurse expects that this client has which type
of infection? - correct-answer-Localized
The client experienced a fall. Nursing assessment reveals that the client is
experiencing tachycardia, hypotension, confusion, tachypnea, and flat
jugular veins. What should be the nurse's first response? - correct-answer-
Administer oxygen.
The family wants to know why the nurse is putting a urinary catheter in a
client experiencing shock. What is the nurse's best response? - correct-
answer-"It will help monitor how much urine the kidneys are able to
produce."
A client experiencing shock has had a urinary output of 250 mL in the last 10
hours. What is the nurse's most appropriate response? - correct-answer-Notify
the physician.
Which client is most likely to be experiencing hypovolemic shock? -
correct- answer-A client who had surgery 24 hours ago and who also has a
nasogastric tube
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The physician has ordered arterial blood gases for a client experiencing shock.
The nurse knows that which value indicates shock? - correct-answer-pH 7.32
A 63-year-old Arab American male states his left leg is "hot." What is the
nurse's best first response? - correct-answer-Assess for pain
The client is complaining of excruciating pain in a foot that has been
amputated. The family tells the nurse that the client is just addicted to pain
medications. What is the nurse's best response? - correct-answer-"He is
experiencing phantom limb pain."
A client has had abdominal surgery and has orders to be ambulated three
times a day. Oral pain medication has been ordered for the client. What should
the nurse do to facilitate ambulation? - correct-answer-Mediate 1 hour prior to
ambulating the client.
The client reports frequent use of acetaminophen. How should the nurse best
respond? - correct-answer-"Do you drink alcohol?"
A client with chronic pain has been admitted with a fever. The nursing
assessment reveals that the client has a decreased level of consciousness.
What should the
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nurse ask the family about? - correct-answer-What medications the client
has taken
The practical nurse is reviewing the social history from a client diagnosed with
small cell carcinoma of the lung. Which information is significant for this
disease? - correct-answer-The client has smoked two (2) packs of cigarettes a
day for 20
years
The practical nurse and an unlicensed assistive personnel (UAP) are caring for a
group of clients on a medical unit. Which information provided by the UAP
warrants immediate intervention by the practical nurse? - correct-answer-The
client receiving Procrit (epoetin alfa) has a T 99.2F̊ , P 68, R 24, and BP of
198/102
The client diagnosed with lung cancer has been told the cancer has
metastasized to the brain. Which intervention should the practical nurse expect
to implement? - correct-answer-Discuss implementing an advance directive
The client diagnosed with lung cancer is being discharged. Which statement
made by the client indicates a reiteration of information is required? - correct-
answer-"It doesn't matter if I smoke now. I already have cancer."
Medical-Surgical Nursing Exam 1 2025 |
Certified Q&A; A+ Guide Solution
The nurse is caring for a client who has as a son with a streptococcus throat
infection. Which nurse recommendation would be best to advise the client to
do in order to prevent acquiring the infection? - correct-answer-Frequently
wash her hands and surfaces of the home.
The nurse is caring for a client infected with Rocky Mountain spotted fever.
The nurse should ask if the client has experienced which of the following? -
correct- answer-Was bitten by a tick
The nurse is caring for a client with a protozoa infection. Which is the most
likely mode of transmission? - correct-answer-Ingestion of contaminated food
or water
The nurse is caring for a client who is recovering from an allergic reaction. Which
leukocyte level would the nurse expect to be the most elevated? - correct-
answer- Eosinophils
,2|Page
The nurse is caring for a client who has an infected wound on the great toe that
is red with a purulent exudate. The nurse expects that this client has which type
of infection? - correct-answer-Localized
The client experienced a fall. Nursing assessment reveals that the client is
experiencing tachycardia, hypotension, confusion, tachypnea, and flat
jugular veins. What should be the nurse's first response? - correct-answer-
Administer oxygen.
The family wants to know why the nurse is putting a urinary catheter in a
client experiencing shock. What is the nurse's best response? - correct-
answer-"It will help monitor how much urine the kidneys are able to
produce."
A client experiencing shock has had a urinary output of 250 mL in the last 10
hours. What is the nurse's most appropriate response? - correct-answer-Notify
the physician.
Which client is most likely to be experiencing hypovolemic shock? -
correct- answer-A client who had surgery 24 hours ago and who also has a
nasogastric tube
,3|Page
The physician has ordered arterial blood gases for a client experiencing shock.
The nurse knows that which value indicates shock? - correct-answer-pH 7.32
A 63-year-old Arab American male states his left leg is "hot." What is the
nurse's best first response? - correct-answer-Assess for pain
The client is complaining of excruciating pain in a foot that has been
amputated. The family tells the nurse that the client is just addicted to pain
medications. What is the nurse's best response? - correct-answer-"He is
experiencing phantom limb pain."
A client has had abdominal surgery and has orders to be ambulated three
times a day. Oral pain medication has been ordered for the client. What should
the nurse do to facilitate ambulation? - correct-answer-Mediate 1 hour prior to
ambulating the client.
The client reports frequent use of acetaminophen. How should the nurse best
respond? - correct-answer-"Do you drink alcohol?"
A client with chronic pain has been admitted with a fever. The nursing
assessment reveals that the client has a decreased level of consciousness.
What should the
, 4|Page
nurse ask the family about? - correct-answer-What medications the client
has taken
The practical nurse is reviewing the social history from a client diagnosed with
small cell carcinoma of the lung. Which information is significant for this
disease? - correct-answer-The client has smoked two (2) packs of cigarettes a
day for 20
years
The practical nurse and an unlicensed assistive personnel (UAP) are caring for a
group of clients on a medical unit. Which information provided by the UAP
warrants immediate intervention by the practical nurse? - correct-answer-The
client receiving Procrit (epoetin alfa) has a T 99.2F̊ , P 68, R 24, and BP of
198/102
The client diagnosed with lung cancer has been told the cancer has
metastasized to the brain. Which intervention should the practical nurse expect
to implement? - correct-answer-Discuss implementing an advance directive
The client diagnosed with lung cancer is being discharged. Which statement
made by the client indicates a reiteration of information is required? - correct-
answer-"It doesn't matter if I smoke now. I already have cancer."
